Malnutrition

Question 1

Which of the following is not a component of the Subjective Global Assessment (SGA)?
A) Weight change
B) Dietary intake
C) Biochemical markers
D) Gastrointestinal symptoms

Answer 1

C) Biochemical markers

Question 2

Which clinical finding is most suggestive of protein-energy malnutrition?
A) Elevated LDL cholesterol
B) Peripheral edema
C) Constipation
D) Hyperglycemia

Answer 2

B) Peripheral edema

Question 3

In hospitalized patients, which factor is most strongly associated with increased risk of malnutrition?
A) Low serum calcium
B) Short hospital stay
C) NPO status >5 days
D) High BMI

Answer 3

C) NPO status >5 days

Question 4

According to the GLIM criteria for malnutrition, which of the following is a phenotypic criterion?
A) Inflammation
B) Reduced food intake
C) Weight loss
D) Reduced muscle strength

Answer 4

C) Weight loss

Question 5

Which of the following is the most appropriate nutrition intervention for a patient at high risk of malnutrition and unable to meet energy needs orally?
A) High-dose vitamin supplements only
B) Regular diet
C) Enteral nutrition support
D) Low-energy liquid diet

Answer 5

C) Enteral nutrition support

Question 6

A 72-year-old woman presents with recent 8% weight loss in 3 months, reports poor appetite and early satiety. BMI is 21 kg/m².
Question: Based on the GLIM criteria, how would this patient be classified?
A) Not malnourished
B) Moderate malnutrition
C) Severe malnutrition
D) At risk but not diagnosed

Answer 6

B) Moderate malnutrition

Question 7

A 55-year-old male undergoing chemotherapy has poor oral intake, nausea, and fatigue. He has lost 5 kg in the past month.
Question: What is the most appropriate first step in nutrition management?
A) Recommend fasting
B) Monitor without intervention
C) Initiate oral nutrition supplements
D) Start parenteral nutrition immediate

Answer 7

C) Initiate oral nutrition supplements

Question 8

A frail 80-year-old male in a long-term care facility shows reduced food intake, low hand grip strength, and signs of muscle wasting.
Question: What is the best tool to assess his nutritional status?
A) BMI only
B) 24-hour recall
C) Mini Nutritional Assessment (MNA)
D) Waist circumference

Answer 8

C) Mini Nutritional Assessment (MNA)

Question 9

A patient has a BMI of 30 kg/m² but has experienced significant unintentional weight loss and muscle loss during hospitalization.
Question: What is the correct interpretation?
A) Not malnourished due to high BMI
B) Overnourished
C) May still be malnourished
D) Needs weight loss counseling

Answer 9

C) May still be malnourished